1. Application for Value Based Leadership Baltic Sea Region, 2013

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This application is for the course starting on 29th of August - 1st of September 2013. In order for us to have some basic data for a phone interview, we would like you to answer the following questions.

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1. Contact information

Contact information Name:

Skype Address:

Address 1:

City/Town:

ZIP/Postal Code:

Country:

Email Address:

Phone Number:

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2. Age

Age Age

Date of Birth (YYMMDD)

3. Sex

Sex Female

Male

Other

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4. Organization

Organization Organization

Role

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5. Current position(Describe your current leadership activities. For how long have you been in this position?)

Current position
(Describe your current leadership activities. For how long have you been in this position?)

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6. Earlier leadership experience(What was your first leadership position, Which positions have you held?)

Earlier leadership experience
(What was your first leadership position, Which positions have you held?)

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7. Have you taken any leadership courses? If so, when and where?

Have you taken any leadership courses? If so, when and where?

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8. This is how I believe my friends would describe me.

This is how I believe my friends would describe me.

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9. Describe your weak and strong areas in leadership.

Describe your weak and strong areas in leadership.

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10. Important issues(What are you passionate about? Why do you want to take this course?)

Important issues
(What are you passionate about? Why do you want to take this course?)

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11. Future(How will you use what you learn during this course? How do you view your future as a leader?)

Future
(How will you use what you learn during this course? How do you view your future as a leader?)

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12. Increased cooperation One objective for this course is to increase cooperation between Scouts and Guides in east (Estonia, Latvia, Lithuania, Poland and Russia) and west (Sweden, Finland, Denmark, Norway, Iceland and Germany). How can you help us to achieve this?

Increased cooperation
One objective for this course is to increase cooperation between Scouts and Guides in east (Estonia, Latvia, Lithuania, Poland and Russia) and west (Sweden, Finland, Denmark, Norway, Iceland and Germany).
How can you help us to achieve this?

13. Which references would you like to supply? This should be people who know you as a leader.

Which references would you like to supply? This should be people who know you as a leader. Reference 1 - name, phone number and how you know each other